Challenges to duel diagnosis mental health

What do you consider to be the key challenges in making a dual diagnosis? What guidelines might you use to deal with those challenges? Also, how do you think a dual diagnosis is affected by racial and ethnic factors? Provide the rationale for your response based on scientific evidence from a professional literature.

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Key challenges to making a dual diagnosis:
- underlining causes/symptoms of each possible diagnosis
- determining which treatment or therapy to use first or solo
- assessments used for each that do not conflict or eliminate the other ...